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Xu RN, Zhang Y, Xu X, Li X, He L, Feng Q, Yang YH, He Y, Ma X, He YM. Serum Copper Concentrations, Effect Modifiers and Blood Pressure: Insights from NHANES 2011-2014. J Cardiovasc Dev Dis 2023; 10:432. [PMID: 37887879 PMCID: PMC10607875 DOI: 10.3390/jcdd10100432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 10/01/2023] [Accepted: 10/16/2023] [Indexed: 10/28/2023] Open
Abstract
(1) Background: Epidemiological studies on the relationship between serum copper and hypertension are contradictory. We assessed the relationship between serum copper and blood pressure among adults in the United States. (2) Methods: We divided hypertension into two categories: treated hypertension and untreated hypertension. Linear or logistic regression analysis was applied to investigate the association between serum copper concentrations and blood pressure levels. (3) Results: As compared to quartile 1, the odds ratios (ORs) for untreated hypertension in quartiles 2, 3, and 4 were 1.02 (0.74-1.42), 1.23 (0.88-1.72), and 1.08 (0.74-1.58), respectively, in multivariable analysis (all p > 0.05). In non-hypertension, as compared with quartile 1, the β (95% CI) of systolic blood pressure for quartiles 2, 3, and 4 was -0.92 (-2.07-0.23), -0.05 (-1.30-1.20), and -0.48 (-1.83-0.88), respectively, in multivariable analysis (all p > 0.05). As compared to quartile 1, the ORs for treated hypertension in quartiles 2, 3, and 4 were 1.36 (0.88-2.10), 1.35 (0.87-2.09), and 1.56 (0.98-2.47), respectively, upon multivariable analysis including antihypertensive medication use as a covariate (all p > 0.05). Furthermore, 1SD increase in serum copper was non-significantly associated with 1.16 (0.97-1.37)-fold increased risk of hypertension in multivariable analysis (p = 0.096). (4) Conclusion: In the present study, we discovered that the serum copper concentration was not related with hypertension or blood pressure levels. Antihypertensive drug use may distort the correlation between copper and blood pressure levels. Information on antihypertensive drug use may be taken into account when identifying new risk factors for hypertension.
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Affiliation(s)
- Ruo-Nan Xu
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Yue Zhang
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Xin Xu
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Xu Li
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Lan He
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
- Division of Ultrasound, The Shanghai Municipal No 8 People’s Hospital, 8 Caobao Street, Shanghai 200000, China
| | - Qiang Feng
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Yong-Hai Yang
- Division of Cardiology, Suzhou Yongding Hospital, 1388 Gaoxin Street, Suzhou 215299, China;
| | - Yang He
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Xiao Ma
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
| | - Yong-Ming He
- Division of Cardiology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China; (R.-N.X.); (Y.Z.); (X.X.); (X.L.); (L.H.); (Q.F.); (Y.H.)
- Division of Cardiology, Suzhou Yongding Hospital, 1388 Gaoxin Street, Suzhou 215299, China;
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Escobedo-Monge MF, Barrado E, Parodi-Román J, Escobedo-Monge MA, Torres-Hinojal MC, Marugán-Miguelsanz JM. Copper/Zinc Ratio in Childhood and Adolescence: A Review. Metabolites 2023; 13:metabo13010082. [PMID: 36677007 PMCID: PMC9862945 DOI: 10.3390/metabo13010082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/26/2022] [Accepted: 12/29/2022] [Indexed: 01/06/2023] Open
Abstract
Both copper (Cu) and zinc (Zn) are crucial micronutrients for human growth and development. This literature review covered the last five years of available evidence on the Cu/Zn ratio in children and adolescents. We searched PubMed, Web of Science, Google Scholar, Cochrane Library, and Science Direct for publications between 2017 and 2022, especially in English, although publications in other languages with abstracts in English were included. The main terms used were "copper", "zinc", "copper-zinc", and "zinc-copper" ratios. Cu and Zn determinations made in blood, plasma, or serum were included. This review comprises several cross-sectional and case-control studies with substantial results. The bibliographic search generated a compilation of 19 articles, in which 63.2% of the studies mostly reported a significantly higher Cu/Zn ratio, and 57.9% of them informed significantly lower levels of Zn. We conclude that children and adolescents with acute and chronic conditions are at greater risk of developing elevated Cu/Zn ratios, related to altered nutritional, infectious, and inflammatory status.
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Affiliation(s)
- Marlene Fabiola Escobedo-Monge
- Faculty of Medicine, University of Valladolid, Avenida Ramón y Cajal, 7, 47005 Valladolid, Spain
- Correspondence: ; Tel.: +34-639-590-467
| | - Enrique Barrado
- Department of Analytical Chemistry, Science Faculty, Campus Miguel Delibes, University of Valladolid, Calle Paseo de Belén, 7, 47011 Valladolid, Spain
| | - Joaquín Parodi-Román
- Science Faculty, University of Cadiz, Paseo de Carlos III, 28, 11003 Cádiz, Spain
| | | | | | - José Manuel Marugán-Miguelsanz
- Department of Pediatrics, Faculty of Medicine, University of Valladolid, Section of Gastroenterology and Pediatric Nutrition, University Clinical Hospital of Valladolid, Avenida Ramón y Cajal, 7, 47005 Valladolid, Spain
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Effect of Physical Exertion on the effect of physical exertion on the concentration of copper and blood pressure in athletesn the Concentration of Copper and Blood Pressure in Athletes. PEDAGOGY OF PHYSICAL CULTURE AND SPORTS 2022. [DOI: 10.15561/26649837.2022.0405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Background and Study Aim. Several mineral elements are necessary for the athlete's body, which significantly impact the development of sports achievements because of their active role in bringing internal balance to the athlete's body. The study aims to determine the concentration of copper in the blood before and after the implementation of physical exertion at a level of 180 pulse/min on middle-distance runners.
Material and Methods. Twelve athletes who are team members at Egyptian clubs were chosen deliberately as a research sample. The study participants were at the end of their special preparation. The experiment was conducted between July 12, 2021, and July 14, 2021, on the research sample, resting after exerting physical effort by running on a treadmill at a speed of 10 km / h. The runner continued at this speed for 3 minutes, after which the device's speed increased by 2 km / h every minute until reaching a heart rate of 180 pulse/ min.
Results. The mineral differences in the copper element are attributed to the immediate induced by physical exertion by increasing the copper element in the blood within the normal level. This causes many changes and responses within the body cells. The copper element plays a significant role in oxidation and reduction processes via enzymes that require the copper element to produce energy in the cells and tissues due to the body's exposure to physical exertion. Athletes' exposure to physical exertion causes copper-dependent enzymes to produce energy in cells and tissues due to the element's requirement.
Conclusions. Copper affected the physical effort of middle-distance runners at a heart rate of 180 pulse/min. In addition, Middle-distance runners' blood pressure (systolic and diastolic) was affected by the physical exertion at a heart rate of 180 rpm.
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Chiu HF, Venkatakrishnan K, Golovinskaia O, Wang CK. Impact of Micronutrients on Hypertension: Evidence from Clinical Trials with a Special Focus on Meta-Analysis. Nutrients 2021; 13:588. [PMID: 33578935 PMCID: PMC7916651 DOI: 10.3390/nu13020588] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 02/03/2021] [Accepted: 02/07/2021] [Indexed: 02/07/2023] Open
Abstract
Hypertension (HT) is one of the pivotal risk factors for various detrimental diseases like cardiovascular diseases (CVDs), cerebrovascular disease, and renal dysfunction. Currently, many researchers are paying immense attention to various diet formula (dietary approach) with a special focus on micro and macronutrients along with modified lifestyle and standard anti-hypertensive drugs. Micronutrients (minerals/vitamins) play a central role in the regulation of blood pressure (BP) as they aid the function of macronutrients and also improve the anti-hypertensive functions of some anti-hypertensive agents. Even though several studies have demonstrated the beneficial effects of micronutrients on controlling BP, still some ambiguity exists among the nutritionists/doctors, which combination or individual mineral (dietary approach) contributes to better BP regulation. Therefore, this critical review article was attempted to delineate the underlying role of micronutrients (minerals and vitamins) for the management and prevention or delaying of HT and their related complications with strong affirmation from clinical trials as well as its mechanism of controlling BP. Moreover, the major source and recommended daily allowance (RDA) of various micronutrients are included in this review for guiding common readers (especially HT subjects) and dieticians to choose/recommend a better micronutrient and their combinations (other nutrients and standard anti-hypertensive drugs) for lowering the risk of HT and its related co-morbid conditions like CVDs.
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Affiliation(s)
- Hui-Fang Chiu
- Department of Chinese Medicine, Taichung Hospital Ministry of Health and Welfare, Taichung 40301, Taiwan;
| | - Kamesh Venkatakrishnan
- School of Nutrition, Chung Shan Medical University, 110, Sec. 1, Jianguo North Road, Taichung 40201, Taiwan;
| | | | - Chin-Kun Wang
- School of Nutrition, Chung Shan Medical University, 110, Sec. 1, Jianguo North Road, Taichung 40201, Taiwan;
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